Method for Total Immersion Photography

ABSTRACT

Total Immersion Photography (TIP) is disclosed, preferably for the use of screening for various medical and cosmetic conditions. TIP, in a preferred embodiment, comprises an enclosed structure that may be sized in accordance with an entire person, or individual body parts. Disposed therein are a plurality of imaging means which may gather a variety of information, e.g., chemical, light, temperature, etc. In a preferred embodiment, a computer and plurality of USB hubs are used to remotely operate and control digital cameras. The photo information is then transferred via the USB to the computer for processing and aggregation. Subject information is gathered to configure the operation of the various parameters of the device.

CROSS-REFERENCE TO PRIORITY APPLICATION

This patent application is a divisional of U.S. patent application Ser.No. 09/625,712, filed Jul. 26, 2000, entitled “APPARATUS FOR TOTALIMMERSION PHOTOGRAPHY,” co-pending herewith, which is hereby expresslyincorporated by reference as part of the present disclosure.

FIELD OF THE INVENTION

The present invention relates primarily to conditions pertaining tohealth and cosmetics. As such, the device allows for the imaging oftotal or subtotal non-occluded body surfaces in order to detect healthand cosmetic conditions and involves the measurement and analysis of anoptically depicted image of a patient's surfaces by standard colorimaging, heat, electromagnetic or chemical imaging. The presentinvention allows for image pixel acquisition, its data collection, dataaggregation, data dissemination, data manipulation, and subsequentviewing. The present invention provides for tissue analysis of a patientsuch that relevant determinations may be made such as detection ofdiseases or related problems of cosmesis.

BACKGROUND OF THE INVENTION

The invention relates to the detection, diagnosis and treatment of skincancer as well as other diseases and cosmetic conditions of the visiblehuman.

Half of all new cancers are skin cancers. About 1.3 million new cases ofskin cancer will be diagnosed in the United States each year. About 80percent of the new skin cancer cases will be basal cell carcinoma, 16percent are squamous cell carcinoma, and 4 percent are melanoma.

Both basal cell carcinoma and squamous cell carcinoma have a better than95 percent cure rate if detected and treated early. Squamous cellcarcinoma of the skin accounts for about 2.3 thousand deaths annually.

The incidence of melanoma has more than tripled among Caucasians between1980 and 2000. There will be about 47,700 new cases of melanoma in 2000.At current rates, one in 74 Caucasian Americans will develop melanoma.With that statistic, one person dies of melanoma every hour. This year,approximately 7,700 deaths will be attributed to melanoma in the ratioof 4,800 men and 2,900 women. Older Caucasian males have the highestmortality rates from melanoma. In women under the age of 30, melanoma ismore prevalent than breast cancer. All of these cancers are associatedwith sun exposure with the majority occurring after age 50. Furthermore,the incidence rates for all skin cancers are increasing with movement ofwhite populations south to sunnier climates and the greater numbers ofindividuals living into their 80s. With the “baby boomer” generationcurrently in their late 50s, the medical community is faced with anexplosive skin cancer epidemic.

There is a need for a practical device that allows for the rapidscreening of individuals for skin cancer and other maladies of the skinin early stages of development.

Currently, clinical diagnosis of skin disease is generally accomplishedby visual inspection under white light illumination. In this process,the reflectance light of a skin lesion is examined. Visual diagnosisalone may not be particularly accurate for early detection of skincancer since many skin conditions have a similar appearance under whitelight. Therefore, when a suspect lesion is identified by visualexamination, a biopsy is often performed for a definitive diagnosis. Notonly is it crucial to diagnose skin pre-cancer or skin cancer at anearly stage when it is curable, but it is also important to improve theclinical diagnosis of suspected skin lesions so as to avoid unnecessaryskin biopsies.

Several approaches have been tried to improve skin cancer diagnosis.Digital processing of reflectance images has been extensivelyinvestigated recently and has been found in melanoma to be more accuratethan specialist diagnostic accuracy. An alternative approach isultraviolet (UV), infrared (IR) or polarized light photography thatextends visual perception of a physician to the UV, IR or polarizedlight reflectance patterns. A further alternative approach that isalready in widespread medical use involves illuminating the skin with a“Wood's lamp” which consists of a mercury discharge lamp associated witha filter that transmits UVA light with a 365 nanometer peak whileabsorbing visible light. When this device is used to assist in skindiagnosis, the eye serves as both the detector and the long pass filter.The eye is not sensitive to UV light, but is sensitive to visiblefluorescence light. When the “Wood's lamp” is used in a darkened room,where the physician sees an image of a fluorescing disease site. The“Wood's lamp” is useful for the diagnosis of some skin conditions suchas tinea capitis, tinea versicolor, erythrasma, and some pseudomonasinfections, as well as aiding in the detection and diagnosis ofhypopigmented skin. It is of no value in conditions where thefluorescence is not in the visible spectrum. These techniques depend onlighting and sensor techniques and may be incorporated into the totalimmersion photography system.

Prior Disclosures

Currently, clinical diagnosis of skin disease is generally accomplishedby visual, verbal and handwritten history taking and by inspectionduring a visit to the physician's clinic. Initial inspections areroutinely performed by general practitioners. Dermatologists may besought out by patients or used upon referral by general practitioners.Either way, an appointment is required. Visual inspections are oftenlimited by the physician's schedule or patient modesty. The patient mayonly be willing to have the area of concern inspected. Generalpractitioners, the HMO “gatekeepers”, have been documented to be lesseffective in discerning potential cancerous lesions than dermatologists.If referrals are not made, possible malignancies may be overlooked. Asecond approach is chemical emulsion or digital photography that canextend visual perception of a physician to the UV or IR reflectancepatterns. Such approaches have also been limited by the need for a“point-and-shoot” photographer. A more limited approach requires onlyimages of those areas in question. This again leaves open thepossibility of an incomplete diagnosis. This approach may be augmentedby the use of skin surface epiluminescence microscopy. Epiluminescencelight microscopy (ELM) represents a technique which permits examinationof the surface of the skin and also—by using the oil immersiontechnique—of the dermal-epidermal junction zone. The commonly usedmethod of epiluminescence microscopy is based on point and shoottechniques requiring a trained operator. Recently, there have beeninvestigations into the use of digital imagery to aid with dermatologicdiagnoses. The prevalent technique uses either digitally processedstandard photography or direct digital photography of sections of thesubject's body. These images are then stored for inspection, referral,and/or forwarding. For comprehensive surface imaging, this approachrequires multiple posings by the photographer and the subject that mayexceed 30 views in total. Depending on the medium used, review of theimages may or may not be available for inspection during the sameappointment. Specific applications include the MoleMap and MoleMax IIsystems. MoleMap uses a combination of three images (epiluminescence,macro and low resolution) to identify possible melanoma. Visual typeresolution is used primarily for mapping suspicious locations. Imagesare diagnosed and reported on by dermatologists before being permanentlyarchived on a computer system for future comparisons. The MoleMax IIsystem combines epiluminescence microscopy and computer technology fordata storage and retrieval. The system can be adapted for body surfaceimaging (using serial individually-photographed images). Images areavailable for inspection during the current office visit, allowingsimultaneous dermatologist/patient on-screen observation. Since theoutcome of treatment of cancer is more favorable the earlier and moreaccurately the cancer is detected, the present invention is asubstantial advancement in improving public health by eliminating thebarrier of an available expert photographer or dermatologist foreffective skin screening. This device provides a complete non-coveredscreening in an automated fashion, removing the intrusion of physicalinspection and decreasing the possibility of missed lesions. The imageacquisition does not require the presence of a physician or medicalphotographer, thereby increasing convenience to the patient/subject.This, in turn, would allow the placement of the device independent ofthe physician's or medical photographer's office, a benefit to publichealth programs.

Since the outcome of cancer treatment is more favorable the earlier andmore accurately the cancer is detected, the present invention is asubstantial advancement in improving public health by automating theimaging of potentially cancerous lesions in a more rapid and completemethod. In light of the many advantages of early detection, there existsa clear need for a device that can greatly enhance the current methodsof skin cancer screening. Furthermore, such a device will also find usein the cosmetic and beauty industry.

SUMMARY OF THE INVENTION

The TIP system including the structure, infrastructure, and imagingsystem, requires little training, minimal staffing, and may beconstructed with simple, easily available tools. TIP is a device thatmay be easily transportable, providing opportunity for skin screeningsin diverse locations such as gym facilities, recreation centers,physician's offices, and other health oriented facilities. Medicallyunder-served and restricted locales, e.g., rural areas and prisonfacilities, will also benefit from TIP system remote diagnosticcapabilities (telemedicine), bringing the care of medical specialists tothe patients.

The present invention, Total Immersion Photography (TIP), relatesinitially, and thus generally, to cancer detection and, moreparticularly, to skin cancer, e.g., melanoma, detection involving themeasurement and analysis of an optical depiction of the subjectpatient's skin surface by standard color imaging, as well as heat,electromagnetic or chemical imaging. The present invention allows forsubject acquisition, data collation, data aggregation, datadissemination, data manipulation, data viewing in a preferable mediumand analysis of a subject patient's skin surface, or other body tissueand, therefore, providing for the subject tissue's analysis such thatrelevant determinations may be made. TIP is a digital image acquisitiondevice, the products of which, are capable of a variety of applications.For instance, panoramic mosaics of the body, 3-D models of the body,images for use with “machine vision”, and interfacing with medicalrecords are such possible uses.

The present invention is uniquely situated whereby TIP may operate asthe screening test, as well as a confirmation of a positive result froma screening test, or even in a manner that provides for second opinions.In either circumstance, if the results of the administered test areconfirmatory, i.e., melanoma is detected or otherwise identified on theskin surface. If, on the other hand, it is determined that melanoma isnot present on the skin surface and, consequently, that the screeningtest was erroneous, the patient is spared the trauma of having toundergo the full work-up including the biopsy. In that respect,confirmation of cancer by analyzing the skin surface as set forth hereinhas many significant advantages over conventional melanoma tests, aswell as cancer detection methods in general.

TIP comprises an image acquisition device that is further comprised ofan enclosed structure that is and can be designed and assembledaccording to the human physiology to be analyzed such that the enclosedstructure maximizes the ease of acquisition of the human body withtraditional and/or digital photography. For purpose of discussionherein, the TIP structure may be comprised of fourteen (14) “panels”.These fourteen (14) panels should be set forth in such that one panelhas a “mirror image” panel. Alternatively, the TIP device may beconstructed in a circular derivative, or like structure, of the fourteen(14) panel embodiment or other such number of panels keeping with theoperative requirements of the device.

Contained within the enclosed structure are devices capable of“photographing” the body in a static position (motion or time-lapsedphotography is also be provided for). The photographic device(s) may becapable of “taking” the body through traditional photography means,and/or temperature, chemical or electromagnetic based means. Forpurposes of discussion herein, the photographic means, e.g. a camera orlike device capable of “capturing” a still image or video streamedimages, (“camera”) array should consist of no less than forty (40)cameras. The camera(s), as envisioned and discussed herein are set forthin the fourteen “panels” such that there are five (5) cameras pervertical panel section (8×5+ top and bottom cameras=42). This structureof cameras and panels may be easily modified without departing from thatwhich is taught, disclosed and intended. The basis for the panel-cameraarray is to accurately capture the physiological attributes desired fromthe subject patient. With subject placement, the camera arraycoordinates and distances are known in relation to the subject. Thesedistances, in combination with focal length and resolution information,allows for the precise measurement of the human features of interest.The camera(s) may be left “on”, engaged or otherwise activated at adesired time.

To effect the proper “picture” lighting or other optical, heat, chemicalor electromagnetic, enhancement means may be affixed to, or placedaround the structure such that the photographic device's “capturing” ofthe subject physiology may be optimized. Accordingly, for purpose ofdiscussion herein in regard to traditional photographic means thephotographic optimization may be accomplished via a lighting means whichconsists of fluorescent lights. These lights should be situated andplaced behind panels constructed of Lucite or like material containingthe same or similar physical and optical properties. The lighting meansmay be “on” or activated prior to engagement of the camera orphotographic means, or further, remotely triggered at a predeterminedtime.

In the event the camera(s) and/or the lighting means are triggeredremotely or upon a sequencing event the same can be controlled manuallyor through computer assistance. Should computers or like devices be usedto facilitate the process, the same may consist of at least one (1) USBHub, but as is contemplated herein ten (10) USB Hubs with 7 (7) USBports per hub. In turn, there should be a data processor or like meansthat resides on a server or so similarly situated.

The subject patient or physiological area would enter or be placed intothe TIP enclosed structure, and if need be into the specified positionfor imaging. When in position, the camera device and enhancement, if notengaged, are so engaged and the image(s) obtained. Thereafter, theimages are transmitted from the camera device(s) through the USB(s) ontoa server/computer means capable of aggregating, manipulating anddisseminating the image(s) collected into a visually discernable format.As such, the images can be displayed synchronously in 2D format orprocessed into 3D renderings for desired or required viewing.

As a result of the aforementioned TIP device, a doctor or otherindividual interested in acquiring the imaging of an individual orphysiological area is provided a device capable of acquiring specificimagery and related information that may be further viewed, and/orcollected, registered and/or stored for analysis. And as is consideredand contemplated herein in regard to conditions and diseases of thevisible human (but to also include and not limited to general physical,topical and subcutaneous analysis).

Accordingly, the apparatus of the present invention provides means fordiagnosis of a skin disease site using spectral analysis comprising: alight source for generating light to illuminate the disease site; aprobe means to conduct the illumination light from the light source tothe disease site and to collect the reflected and fluorescence light andconduct said light to be analyzed; and spectral analysis means opticallyconnected to the probe means for generating and displaying spectralmeasurements of the fluorescence light and the reflectance light toassist the user in diagnosing the disease site.

In a further aspect, the present invention provides a method fordiagnosis of a skin disease site using spectral analysis comprising thesteps of: illuminating the disease site with a light source to generatefluorescence and reflectance light at the disease site; collecting thegenerated fluorescence and reflectance light; conducting a spectralanalysis of the collected light using a spectrometer; displayingspectral measurements of the fluorescence light and the reflectancelight; and analyzing the measured fluorescence and reflectance spectratogether to make a diagnosis of the disease site.

In a preferred embodiment, the apparatus of the present inventionincludes a compact spectrometer connected to a computer, a fluorescenceexcitation light source with a shutter, a white light source with ashutter, a bifurcated fibre bundle, a light coupler, a skin probe, andcontrolling electronics. The system is designed to automatically switchbetween the fluorescence excitation light and the white light sourcesand complete fluorescence and reflectance spectral measurements of askin disease site sequentially in a few seconds. The system exploits thespectral differences of different skin diseases to aid in thedermatologic diagnosis. In particular, the apparatus provides a lowcost, compact system that is capable of quickly and efficientlyperforming combined fluorescence and reflectance spectral analysis.

Applications

Below are some examples, but not limited to, in regard to theinvention's scope and intended applications of TIP:

Automated Acquisition

Storage and display of the non-occluded visible body surface propertiesincluding but not limited to diseases and cosmetic conditions of theskin, hair and nails and body measurements. In this application the bodysurface can be viewed and measurements taken, evaluated, viewed,collated, and cross-referenced in an easy and efficient manner.

Melanoma and Skin Cancer Screening

Large populations can be effectively screened in a short period of timefor skin cancers and related maladies using this device. The consistentlighting and repeatability of the imaging technique make it ideal forreplacing the skin cancer screening environment where poor lighting,patient movement and dialogue, patient modesty and other factorsincrease the likelihood of an incomplete examination. By removing mostof these factors, the physician is allowed undistracted viewing time ofthe patient's skin surface. In addition, the travel and time expense ofskin cancer screenings at a location other than the physician's ownoffice is large. For evaluations of change over time and detection ofnew lesions, 3-month, 6-month and yearly scans can be obtained andanalyzed in relation to one another. All evaluations can be viewed,collated, and cross-referenced in an easy and efficient manner such thatpatient, doctor and health care provider time is minimized (and thuscost reduced). Data will be recorded and aggregated such that accurateassessments of the patient and population may be derived.

Medical Practice Aid/Documentation System

The availability of images of a patient undergoing therapy is criticalto a practicing dermatologist who bases his/her clinical evaluation onthe “improvement” he/she sees in the patient over time. This isespecially pertinent to chronic conditions such as acne, urticaria,atopic dermatitis, contact dermatitis, psoriasis, blistering disorders,etc. The system acts as a “medical memory” of the patient as he/shereturns to the office for reevaluation.

Beauty Evaluations

Consumers flock to cosmetic counters to purchase makeup to hide theirskin conditions. Eighty percent of skin cancers are found on the headand neck. A “beauty mark” that is identified by the patient on the facecould be dermatosis nigra, seborrheic keratosis, compound nevus ormelanoma. A raised pink or red “pimple” could be a basal cell carcinomaor granuloma or sarcoid lesion. Other conditions include broken bloodvessels (red lines) which can be indicative for diagnoses oftelangectasias and rosacea. Pigment disorders such as vitiligo (lack ofmelanin), melasma (increased melanin), as well as discolorations due toexcessive sun exposure are challenging to hide with makeup. Inflammatoryskin conditions such as seborrheic dermatitis, psoriasis and eczemacause red, scaly patches which are chronic conditions falsely managed bymoisturizers and makeup formulations. The information can be used to aidin makeover consultations. Consumers can be evaluated as to theircurrent skin regimens and their conditions and followed over time asthey undergo medical therapy. In addition, topical and internalmedicines can be studied for their effectiveness over time.

Body Morphology Analysis-Shape Evaluation

Medically consequential conditions of the skeleton such as limbdeformities and the spine deformities of kyphosis and scoliosis may beassessed photogrammetrically through TIP system. The consumer is alsocurious about what “shape” they are in mainly for appearance reasons.The physician or physical trainer is interested in the “shape” of thepatient or client for both health and beauty reasons. This inventionallows for a total body evaluation on several dimensions. Measurementsand comparisons of body contours, fat deposit analysis, assymetry, etc.with volume measurements will be valuable for the cosmetic surgeon, thephysician, the physical trainer, the clothier, etc. Medical and healthdecisions will be aided with such information. These evaluations canthen be viewed, collated, and cross-referenced in an easy and efficientmanner.

Cosmetic Surgery Applications

Preoperative evaluations as well as postoperative analysis andcomparisons can be made using this device for all cosmetic surgeryprocedures. This is especially true for but not limited to facialsurgery, eyelid surgery, face lifts, neck lifts, laser resurfacing,laser hair removal, soft tissue augmentation and liposuction. Thephysician can look to reduce asymmetry of the patient's anatomy toenhance the outcome of cosmetic surgery. In addition, measurements ofgraft survival and soft tissue survival as well as measurements of softtissue removal can be more accurately defined. These evaluations can beviewed, collated, and cross-referenced in an easy and efficient mannersuch that studies can be made of the procedures where there arecurrently none.

Soft Tissue Manipulation

Volumetric measurements of soft tissue will facilitate studies ofcosmetic procedures of the subcutis, glands, muscles, and skeleton. Itwill enhance the accuracy of body volume measurements for both softtissue augmentation and soft tissue removal. Patients will be measuredbefore soft tissue manipulation so that the procedure is more accuratelyapplied to the areas to be treated. The volumetric data will serve as abaseline to study the effectiveness of the treatment and will alsoenhance postoperative evaluation. For soft tissue augmentation usinglive tissue, it will allow for survival studies to be conducted. Thiswill be a significant improvement over the current water-displacementtechniques and 2D renderings. These evaluations can be viewed, collated,and cross-referenced in an easy and efficient manner such that patientand doctor time is minimized. Data can be reviewed in a postoperativeenvironment to assess outcomes and be used for outcome studies.

Percent of Surface Involved Score Calculation

This device will be able to standardize the Percent of Surface Involved(“POSI”) and Psoriasis Area Surface Involvement (“PASI”) scoring for theevaluation of extent of disease of such skin diseases but not limited topsoriasis, pemphigus, burn victims, etc. Automation of the calculationwill be critical. Topical and internal medicines can be studied fortheir effectiveness over time. These calculations can be collated andcross-referenced in manner such outcome studies of therapies can becollected for large populations and published.

Hair Loss Evaluation

Progression of hair loss and treatment evaluation can be monitored withsuch a device. Topical and internal medicines can be studied for theireffectiveness over time. In addition, hair transplantation techniques(planning, mapping and performing) will be enhanced. Postoperative andfollow-up graft survival studies will also be more accurate. Such anevaluation procedure can be viewed by patient and health careprofessional alike, whereafter the same may be collated, and crossreferenced in a manner such that time is minimized, data is accuratelyrecorded and aggregated so an accurate assessment and prognosis may bemade.

Wound Healing Evaluations

Therapeutic analyses for post operative wounds, traumatic wounds,ulcers, burns, scars, etc. collectively “wounds” can be made using thisdevice. Measurements of the “wounds” at the outset of therapy and thenat specific intervals of time allow for accurate evaluation of theprogression of healing time and patient responsiveness to treatment.Topical and internal medicines can be studied for their effectivenessover time. These evaluations and resulting analyses can be viewed,collated, and cross referenced in an easy and efficient manner such thattime is minimized, data accurately recorded and aggregated for efficientand accurate assessments and prognosis made.

Remote Diagnostic Evaluations

This device will allow for both local and remote medical and cosmeticconsultations. These evaluations and applications can be sharedeffectively using store-and-forward telemedicine techniques. The TIPdata set can be viewed, collated, and cross referenced in an easy andefficient manner such that patient and doctor time is minimized, dataaccurately recorded and aggregated and thus efficient and accuratediagnoses.

Accordingly the following are a list, not inclusive, of those ailments,maladies and concerns that can be addressed by the device as disclosedherein: Disorders relating to and/or resulting from: altered reactivity;bacterial and fungal diseases; cell kinetics; cell differentiation;drugs and chemical agents; epidermal cohesion; epidermal appendages andrelated disorders; epidermal and appendageal tumors; hematology;infestations, bites, and stings; lymphomas and pseudolymphomas;mechanical and physical factors; melanocytes; mucocutaneous integument;neoplasems; nutrition, metabolism, and genetics; organ systems:gastrointestinal, cardiovascular, pulmonary, endocrine, renal and otherorgan systems; persistent inflammation; rheumatology; including but notlimited to sexually transmitted diseases.

Also identifiable are conditions of surgical dermatology, including butnot limited to: cryosurgery; hair loss and transplant; liposuction;micrographic surgery; nail surgery; sclerotherapy; skin resurfacing;soft tissue augmentation and wounds.

Particularly the following, but not limited thereto, are capable ofbeing identified through the use of the invention disclosed herein:

Abscess, Child Abuse, Drug Abuse, skin lesions, Physical AcantholyticDermatosis, Transient Acanthosis Nigricans; Acarophobia; Acatalasia,Achromia Parasitica; Acne Artificialis; Acne Conglobata; Acne Cosmetica;Acne Excoriee; Acne Fulminans; Acne Keloidalis; Acne Mechanica; AcneNecrotica; Acne Neonatorum; Acne Rosacea; Acne Varioliformis; AcneVulgaris; Chloracne; Cystic Acne, Halogen Acne, Pomade Acne, SteroidAcne, Tropical Acne, Acneiform Eruptions, Drug-Related Acne;Acrochordon; Acrocyanosis; Acrodermatitis Chronica Atrophicans;Acrodermatitis Continua; Acrodermatitis Enteropathica; Acrodermatitis ofHallopeau; Acrodermatitis Pustulosa Perstans; Papular Acrodermatitis ofChildhood, Acrodynia; Acrokeratoelastoidosis; AcrokeratosisVerruciformis, Acromegaly, Acropachyderma, Acropustulosis,Acropustulosis Of Infancy, Acrosclerosis, Actinic Cheilitis, ActinicDermatitis, Actinic Elastosis, Actinic Keratosis, Actinic Damage;Actinic Prurigo; Actinic Reticuloid; Actinomycosis, Actinophytosis,Acuminate Warts; Acute Febrile Neutrophilic Dermatoses, Drug Addiction,Addison's Disease; Sweat Gland Adenoma, Adenoma Sebaceum, AdenomatosisOris, Adiposis Dolorosa, Agammaglobulinemia, AIDS, AIDS-AssociatedSyndromes, Ainhum, Albinism, Albright's Syndrome, Aldrich's Syndrome,Alkaptonuria, Allergic Contact Dermatitis, Allergic Vasculitis; AlopeciaAreata, Alopecia Mucinosa, Alopecia Totalis, Alopecia Universalis,Androgenetic Alopecia, Scarring Alopecia, Amebiasis, Amputation StumpDermatitis, Amyloidosis, Anagen Effluvium, Anaphylactoid Purpura,Anderson-Fabry Disease, Anemia, Anetoderma, Angiitis, Angioedema,Angiofibroma, Angioimmunoblastic Lymphadenopathy; Angiokeratoma & OtherBenign Vascular Tumors; Angiokeratoma Corporis Diffusum, Angiolipoma,Angiolymphoid Hyperplasia, Angioma, Angioma Serpiginosum, AngioneuroticEdema, Anhidrotic Ectodermal Dysplasia, Animal Bites, Anthrax,Antiphospholipid Syndrome, Aphthous Ulcer, Aplasia Cutis Congenita,Apocrine Miliaria, Argyria, Arsenical Keratoses, Arteriolitis,Arteriovenous Malformations, Arthritis, Arthropod Bites And Stings, AshyDermatosis, Aspergillosis, Asteatosis, Ataxia-Telangiectasia, AtopicDermatitis, Atrophic Nail Disorders, Malignant Atrophic Papulosis,Atrophie Blanche, Anetoderma, Atrophy Unclassified, AtypicalFibroxanthoma, Atypical Mycobacterial Infections, Auricular Fistula,Autoeczematous Dermatitis, Autoerythrocyte Sensitization,Autosensitization Dermatitis, Pustular Bacterid, Balanitis XeroticaObliterans; Balding, Basal Cell Carcinoma, Basal Cell Nevus Syndrome,Battered Child, Bazin's Disease, B-Cell Disorders, Becker's Nevus,Behcet's Syndrome, Bejel, Benign Familial Chronic Pemphigus, BenignMucous Membrane Pemphigoid, Benign Tumors, Berloque Dermatitis, BiliaryCirrhosis, Birthmarks, Insect Bites, Spider Bites, B-K Mole Syndrome,Black Hairy Tongue, Black Heel, Blaschko Dermatitis, North AmericanBlastomycosis, South American Blastomycosis, Blepharitis, BlisterAgents, Blister Beetle Dermatitis, Blood Dyscrasias, Bloom's Syndrome,Blue Nevus, Blue Rubber Bleb Nevus, Bockhart's Impetigo, Boil, BornholmDisease, Botryomycosis, Bourneville's Disease, Bowenoid Papulosis,Bowen's Disease Or Intraepidermal Carcinoma, Branchial Cyst,Branchiogenic Cyst, Brazilian Pemphigus, Bromoderma, Brucellosis,Buerger's Disease, Bullous Dermatosis Of Childhood, BullousDiabeticorum, Bullous Disorders, Bullous Pemphigoid, Burn, Buruli Ulcer,Buschke-Ollendorff Syndrome, Cafe-Au-Lait Spots, Caffey's Syndrome,Calcifying Epithelioma, Calcinosis Cutis And Osteoma Cutis, Callus,Campbell De'morgan Spot, Candidiasis, Canities, Canker Sore, CapillaryHemangioma, Carbuncle, Carcinoid Syndrome, Epidermoid Carcinoma,Metastatic Carcinoma, Merkel Cell Carcinoma, Squamous Cell Carcinoma,Carotenemia, Caterpillar Dermatitis, Cat-Scratch Disease, Cellulite,Lymphangitis, Dissecting Cellulitis of the Scalp, Cercarial Dermatitis,Chagas Disease, Chancre, Chancroid, Chédiak-Higashi Syndrome, Cheilitis,Cheilitis Glandularis, Cheilitis Granulomatosa, Chemical Blister Agents,Side-Effects of Cancer Chemotherapy, Cherry Angioma, Chickenpox, ChiggerBites, Chilblains, Child Abuse, Chloasma, Chloracne, CholinergicUrticaria, Chondrodermatitis, Chromhidrosis, Chromoblastomycosis,Chromomycosis, Chronic Granulomatous Disease, Chrysiasis, Churg Strauss,Cicatricial Alopecia, Cicatricial Pemphigoid, Cicatrix, Clavus, ClearCell Acanthoma, Clubbing Of Fingers, Cobb Syndrome, Coccidiodomycosis,Cockayne's Syndrome, Cold Injury, Ulcerative Colitis, PerforatingCollagenosis, Collodion Baby; Colloid Milium, Comedos, Comedonal Nevus,Complement Deficiency Disorders, Compound Nevus, Condyloma Accuminatum;Condyloma Lata; Confluent And Reticulated Papillomatosis; CongenitalDisorders, Unclassified; Congenital Fistulae; Congenital Hair Disorders,Unclassified; Congenital Hypoplasia; Congenital Poikiloderma; CongenitalSelf-Healing Reticulohistiocytosi; Congenital Syphilis; CongenitalVascular Neoplasm Syndromes; Connective Tissue Nevus; Conradi's Disease;Contact Dermatitis; Contracture; Unclassified; Copper Deficiency; Corns;Corticosteroid Effects; Cosmetic Procedures; Coumarin Reaction; Cowden'sDisease; Coxsackie Infection; Craniofacial Angiomatosis; CreepingEruption; Crest Syndrome; Crohn's Disease; Cronkhite-Canada Syndrome;Cryofibrinogenemia; Cryoglobulinemia; Cryosurgery; Cryptococcosis;Cushing's Syndrome; Cutaneomeningospinal Angiomatosis; Cutaneous B-CellLymphoma; Cutaneous Horn; Cutaneous Markers Of Malignancy; CutaneousPapillomatosis; Cutaneous Tag; Cutaneous T-Cell Lymphoma; CutisElastica; Cutis Laxa; Cutis Marmorata; Cutis Marmorata TelangiecteticaCongenita; Cutis Rhomboidalis Nuchae; Cutis Verticis Gyrata; CyclicNeutropenia; Cylindroma; Cyst, Branchiogenic; Cyst, Epidermal OrEpithelial; Cyst, Keratinous, Pilar Or Sebaceous; Cyst, Mucous; Cyst,Pilar; Cyst, Sebaceous; Cyst, Synovial; Cytomegalovirus Infection;Dactylolysis; Dandruff; Darier-White Disease; Decubitus Ulcer;Deficiency, Mineral Or Vitamin; Degos Disease; Delusions Of Parasitosis;Demodex Folliculorum; Dental Abnormalities; Dental Sinus;Depigmentation; Depressive (Neurotic) Excoriations; Dercum's Disease;Dermal Hypoplasia; Dermatalgia; Dermatitis Herpetiformis; DermatitisMedicamentosa; Dermatitis Nodularis Necrotica; Dermatitis PapillarisCapillitii; Dermatitis Repens; Dermatitis Vegetans; Dermatitis, Acute,Unclassified; Dermatitis, Atopic; Dermatitis, Autosensitization;Dermatitis, Beetle; Dermatitis, Berloque; Dermatitis, Contact;Dermatitis, Diaper; Dermatitis, Drug Allergy; Dermatitis, Drug Toxicity;Dermatitis, Dyshydrotic; Dermatitis, Eczematous; Dermatitis,Exfoliativa; Dermatitis, Facticial; Dermatitis, Infectious Eczematoid;Dermatitis, Irritant; Dermatitis, Nummular; ermatitis, Occupational;Dermatitis, Perioral; Dermatitis, Photo; Dermatitis, Pregnancy;Dermatitis, Radiation; Dermatitis, Seborrheic; Dermatitis, Stasis;Dermatitis, Nutritional; Dermatofibroma; DermatofibrosarcomaProtuberans; Dermatofibrosis Lent Diss& Osteopoikilosis; Dermatolysis;Dermatomyositis; Dermatophyte Infections, Unclassified; Dermatophytid;Dermatophytosis; Dermatosis Papulosa Nigra; Dermographism; Dermoid Cyst;Desmoid Tumor; Desquamation, Unclassified; Diabetes Mellitus; DiabeticDermodromes; Dialysis, Bullous Dermatoses Of Diaper Dermatitis;Disseminated Intravascular Coagulation; Diet & Dermatology; DigitalFibrokeratosis; Digitate Dermatoses; Diphtheria, Cutaneous; DiscoidLupus Erythematosus; Dissecting Cellulitis Of The Scalp; DisseminatedIntravascular Coagulation; Disseminated Lupus Erythematosus;Disseminated Super. Actinic Porokeratosis; Discoid Lupus Erythematosus;Animal Bites; Down Syndrome; Dracunculosis; Drug Abuse; Drug Eruption;Drug Toxicity; Disseminated Superficial Actinic Porokeratosis;Duhring-Brocq Disease; Dupuytren's Contracture; Dyshydrotic Dermatitis;Warty Dyskeratoma; Dyskeratosis Congenita; Dyskeratosis Follicularis;Dysplastic Nevi Or Syndrome; Dysproteinemia; Dysraphism; DystrophicNails; Ecchymosis; Eccrine Gland Tumors; Eccrine Hydrocystoma; EccrinePoroma; Eccrine Spiradenoma; Ecthyma; Ecthyma Contagiosum (Orf); EcthymaGangrenosum; Ectodermal Defect, Congenital; Eczema Craquele; EczemaHerpeticum And Vaccinatum; Eczema, Atopic; Eczema, Dyshydrotic; Eczema,Nummular; Edema, Angioneurotic; Edema, Legs, Hereditary; Edema,Unclassified; Ehlers-Danlos Syndrome; Ehrlichosis; Elastoidosis, NodularWith Cysts & Comedones; Elastolysis, Generalized; Elastoma, Juvenile;Elastosis Perforans Serpiginosa; Elastosis, Actinic; Elastosis,Perforating; Elephantiasis; Elephantiasis Nostras Verrucosa; Emboli;Endocrinopathy, Miscellaneous; Endometriosis; Eosinophilic Fasciitis;Eosinophilic Granuloma; Eosinophilic Papulovesicular Derm Of Newborn;Ephelides And Lentigines; Epidermal Inclusion Cyst; EpidermalNecrolysis, Toxic; Epidermal Nevus; Epidermodysplasia Verruciformis;Epidermoid Carcinoma; Epidermolysis Bullosa; EpidermolyticHyperkeratosis; Epiloia; Epithelial Cyst; Epithelial Nevus; EpitheliomaAdenoides Cysticum; Epithelioma, Arsenical; Epithelioma, Basal Cell;Epithelioma, Calcifying Of Malherbe; Epithelioma, Squamous; ErosioInterdigitalis Blastomycetica; Eruption Of Lymphocyte Recovery;Eruption, Creeping; Erysipelas; Erysipeloid; Erythema Ab Igne; ErythemaAnnulare Centrifugum; Erythema Chronicum Migrans; Erythema Circinatum;Erythema Dyschromicum Perstans; Erythema Elevatum Diutinum; ErythemaFiguratum Perstans; Erythema Gyratum Perstans; Erythema Gyratum Repens;Erythema Induratum; Erythema Infectiosum; Erythema Marginatum; ErythemaMultiforme; Erythema Nodosum; Erythema Of Jacquet; Erythema Perstans;Erythema Toxicum Neonatorum; Erythema, Anatomic; Erythema,Noninfectious, Unclassified; Erythema, Toxic; Erythema, Unclassified;Erythermalgia; Erythrasma; Erythrocyte Autosensitization; Erythroderma,Exfoliative; Erythrokeratodermia Variabilis; Erythromelalgia;Erythroplasia Of Queyrat; Esthiomene; Exanthem Subitum; Exanthem,Bacterial; Exanthem, Viral; Excoriation, Depressive Or Neurotic;Exfoliation Of Palms And Soles; Exfoliative Dermatitis (Or See Cause);Extramammary Paget's Disease; Extramedullary Hematopoeisis, Cutaneous;Exudative Discoid And Lichenoid Derrnatitis; Fabry's Disease; FacialGranuloma; Facticial Dermatitis; Familial Benign Chronic Pemphigus;Familial Hemorrhagic Telangiectasia; Farber's Disease; Fasciitis,Necrotizing; Fat Dystrophy; Fat Necrosis; Favre-Racouchot ElastoidosisSyndrome; Favus; Febrile Neutrophilic Dermatosis, Acute; Female PatternBaldness; Fever Blisters, Aphthae; Fever Blisters, Herpes Simplex;Fibroepithelial Polyp; Fibroma; Fibromatosis Of Penis; Fibrous Papule OfNose; Fibroxanthoma, Atypical; Fifth Disease; Figurate Erythema;Filariasis; Fissured Tongue; Fistulae, Congenital; Fixed Drug Eruption;Flat Warts; Flea Bites; Florid Oral Papillomatoses; Flushing,Non-Carcinoid; Focal Dermal Ilypoplasia; Fogo Selvagem; FollicularMucinosis; Folliculitis; Folliculitis Abscedens Et Suffodiens;Folliculitis Decalvans; Folliculitis Keloidalis; Fordyce Lesions OfScrotum; Fordyce Spots; Foreign Body; Foreign Body Granuloma;Fox-Fordyce Disease; Freckles; Friction Blister; Frostbite; FungalCultures (Alphabetical By Genus); Fungal Infection, Deep, Unclassified;Fungal Infection, Superficial, Unclassified; Furuncle; Ganglion;Gangosa; Gangrene; Gardner's Syndrome; Gargoylism; GastrointestinalSyndromes; Gaucher's Disease; Geographic Tongue; German Measles' GiDisease, Skin; Manifestations; Gianotti-Crosti Syndrome; Giant CellArteritis; Gingiva, Unclassified; Gingival Hypertrophy; Gingivitis,Unclassified; Glanders; Glandular Cheilitis; Glomus Tumor; Glossitis,Median Rhomboid; Glossitis, Unclassified; Glucagonoma Syndrome; GlycogenStorage Disease; Gold Pigmentation; Goltz Syndrome; Gonococcemia;Gonorrhea; Gougerot-Blum Disease; Gougerot-Carteaud's Papillomatosis;Gout; Gower's Panatrophy; Graft Vs. Host Reaction; Granular CellMyoblastoma; Granuloma; Annulare; Granuloma Faciale; GranulomaFissuratum, Cutaneous; Granuloma Fissuratum, Mouth; Granuloma Inguinale;Granuloma Pyogenicum; Granuloma, Mosinophilic; Granuloma, Foreign Body;Granuloma, Meischer's; Granuloma, Swimming Pool; Granuloma,Unclassified; Granulomatosis Disciformis, Meischer; Granulomatosis,Chronic Familial; Granulomatosis, Wegener's; Granulomatous Disease,Chronic; Granulosis Rubra Nasi; Graves Disease; Grooved Tongue; GroversDisease; Gumma; Guttate Hypomelanosis, Idiopathic; Guttate Morphea;Gynecomastia; Gypsy Moth Dermatitis; Hailey-Hailey Disease; Hair CollarSign; Hair Excess; Hair Pigment Disorder; Hair Shaft Abnormalities;Hairy Leukoplakia (Aids Associated); Hairy Leukoplakia (Non-AidsAssociated); Hairy Tongue; Halo Nevus; Halogen Acne; Hamartoma; Hand AndFoot Eruption, Unclassified; Hand-Foot-And-Mouth Disease;Hand-Schuller-Christian Disease; Hansen's Disease; Hartnup Disease; HeatInjury; Heat Rash; Hemangiectatic Hypertrophy; Hemangioendothelioma;Hemangioma; Hematologic Disorders, Unclassified; Hematoma;Hemochromatosis; Hemosiderosis; Henoch-Schonlein Purpura; HepaticDisease; Hepatitis; Hereditary Disorders, Unclassified; HereditaryHemorrhagic Telangiectasia; Herpangina; Herpes Gestationis; HerpesProgenitalis; Herpes Simplex; Herpes Zoster; Hibemoma; HidradenitisSuppurativa; Hidradenitis, Palmar-Plantar; Hidradenoma Papilliferum;Hidrocystoma; Hidrotic Ectodermal Defect; Hippocratic Nails; Hirsuitism;Histicytoma; Histiocytoid Hemangioma; Histiocytosis X; Histoplamosis;Hives; Hodgkin's Disease; Homocystinuria; Hookworm Infestations; Horn,Cutaneous; Housewife's Eczema; Howell Evans Synd; Hunter's Syndrome;Hurler's Syndrome; Hyalinosis Cutis Et Mucosae; Hydroa Aestivale; HydroaVacciniforme; Hygroma, Cystic; Hyper Ige Syndrome; Hypercholesterolemia;Hyperhydrosis; Hyperkeratosis Climactericum; Hyperkeratosis Follicularis(Kyrle's); Hyperkeratosis Lenticularis Perstans(Flegel); HyperkeratosisPalmaris Et Plantaris; Hyperkeratosis, Epidermolytic; Hyperkeratosis,Unclassified; Hyperlipemia; Hyperpigmentation, Unclassified;Hypersensitivity Vasculitis; Hypertrichosis; Hypertrophic Nails;Hypertrophic Scar; Hypertrophy From Chronic Irritation; Hypohidrosis;Hypomelanosis, Unclassified; Hypoplasia, Congenital; Ichthyosis;Ichthyosis Hystrix; Ichthyosis Linearis Circumflex; Ichthyosis Vulgaris;Id Eruption; Idiopathic Guttate Hypomelanosis; Ige Syndrome; ImmersionFoot; Immune Complex Disease; Immune Deficiency, Acquired (AIDS); ImmuneDeficiency, Unclassified (Not AIDS); Immunoblastic Lymphadenopathy;Immunoglobulin Deficiency Disorders; Impetigo, Impetigo Follicularis;Impetigo Herpetiformis; Impetigo Of Bockhart; Inclusion Cyst;Incontinentia Pigmenti; Infantile Lichenoid Dermatitis; Infections,Bacterial, Unclassified; Infections, Rickettsial, Unclassified;Infections, Viral, Unclassified; Infectious Eczematoid Dermatitis;Infectious Mononucleosis; Infundibulofolliculitis; Injury, Traumatic;Inoculation Tuberculosis; Insect Bites And Stings; IntaepidermalCarcinoma; Intertrigo; Iododerma; Irritant Dermatitis; Ischemia;Ischemic Ulcer; Itch, Unclassified; Jadassohn-Lewandowsky Syndrome;Jaundice; Jaw, Lumpy; Jellyfish Sting; Jessner's LymphocyticInfiltration; Job's Syndrome; Junctional Nevus; Juvenile Elastoma;Juvenile Melanoma, Benign; Juvenile Xanthogranuloma; Kala Azar; Kaposi'sSarcoma (Aids Associated); Kaposi's Sarcoma (Not Aids Associated);Kaposi's Varicelliform Eruption; Kasaback-Merritt Syndrome; KawasakiDisease; Keloid; Keloid Acne; Keloidal Blastomycosis; Keratinous Cyst;Keratoacanthoma; Keratoderma Blenorrhagica; Keratoderma Climactericum;Keratoderma Of Palms And Soles; Keratoderma Palmaris Et Plantaris;Keratolysis Exfoliativa; Keratolysis, Pitted; Keratosis BlenorrhagicaAnd Reiter's Synd; Keratosis Follicularis; Keratosis Palmaris EtPlantaris; Keratosis Pilaris; Keratosis Punctata Palmaris Et Plantaris;Keratosis, Actinic; Keratosis, Follicle, Unclassified; Keratosis, Mouth;Keratosis, Seborrheic; Keratosis. Arsenical; Kerion; Kinky Hair Disease,Menke's; Klippel-Trenaunay-Parkes-Weber; Knuckle Pads; Koh Preparation;Koilonychia; Kraurosis Vulvae; Kwashiorkor; Kyrle's Disease; LamellarDyshydrosis; Lamellar Ichthyosis; Larva Migrans; Laser Therapy; LegUlcer, Unclassified; Leiner's Disease; Leiomyoma; Leishmaniasis;Lentigo; Lentigo Maligna; Lentigo Maligna Melanoma; Leopard Syndrome;Leprosy; Lesch-Nyhan Syndrome; Leser-Trélat Sign; Lethal MidlineGranuloma; Letterer-Siwe Disease; Leukemia Cutis; Leukocyte Disorders,Unclassified; Leukoderma, Unclassified; Leukonychia; Leukoplakia AndKeratosis, Mouth; Leukoplakia, Except Mouth; Lichen Amyloidosis; LichenAureus; Lichen Myxedematosis; Lichen Nitidus; Lichen Pilaris; LichenPlanopilaris; Lichen Planus; Lichen Sclerosus Et Atrophicus; LichenScrofulosorum; Lichen Simplex Chronicus; Lichen Spinulosus; LichenStriatus; Light Eruption Or Reaction; Light Therapy; Lindau-Von HippelDisease; Linear & Whorled Nevoid Hyperpigmentation; Linear Iga Disease;Linear Nevus; Lip, Unclassified; Lipoatrophy; Lipodystrophy;Lipogranulomatosis; Lipoid Proteinosis; Lipoma; Livedo Reticularis;Loaisis; Lobo's Disease; Loxoscelism; Lumpy Jaw; Lupus Erythematosus,Discoid; Lupus Erythematosus, Neonatal; Lupus Erythematosus, SubacuteCutaneous; Lupus Erythematosus, Systemic; Lupus Miliaris Disseminata;Lupus Miliaris Disseminata Faciei; Lupus Pernio; Lupus Profundus; LupusVulgaris; Lyell's Syndrome; Lyme Disease; Lymphadenosis Cutis;Lymphangioma; Lymphangitis; Lymphedema; Lymphoblastoma; LymphocyteRecovery Eruption; Lymphocytic Infiltrate Of Jessner; Lymphocytoma CutisAnd Lymphocytic Infilt.; Lymphogranuloma Venereum; Lymphoma, Hodgkin's;Lymphoma, Non-Hodgkin's, Other; Lymphomatoid Granulomatosis;Lymphomatoid Papulosis; Macrochelia; Macroglobulinemia; Macroglossia;Maculae Ceruleae; Macular Atrophy; Madelung's Disease; Madura Foot;Maduromycosis; Mafucci's Syndrome; Majocchi's Disease; Majocchi'sGranuloma; Mal De Meleda; Mal Perforans Ulcer; Male Pattern Baldness;Malherbe, Calcifying Epithelioma Of; Malignancy Markers, Cutaneous;Malignant Atrophic Papulosis; Malignant Freckle; Malignant Lentigo;Malignant Melanoma; Malignant Tumors, Unclassified; Marfan's Syndrome;Marjolin's Ulcer; Markers Of Malignancy, Unclassified; Mast Cell Tumor;Mastocytosis; Measles; Measles, German; Median Rhomboid Glossitis;Meischer's Granuloma; Melanoma, Lentigo Maligna; Melanoma, Malignant;Melanosis Circumscripta Precancerosa; Melasma; Melkersson-RosenthalSyndrome; Meloidosis; Meningococcemia; Menkes Kinky Hair Syndrome;Mercury Pigmentation; Merkel Cell Carcinoma; Metal Allergy; MetalPigmentation; Metastatic Carcinoma; Mibelli, Angiokeratoma Of;Microscopic Examination; Midline Granuloma, Lethal; Miliaria; Milium;Milker's Nodules; Milroy's Disease; Mite Dermatitis; Mixed ConnectiveTissue Disease; Mohs Micrographic Surgery; Mole; Molluscum Contagiosum;Mondor's Syndrome; Mongolian Spot; Mongolism; Monilethrix; Moniliasis;Morbus Moniliformis; Morphea; Morquio's Disease; Mucha-Habermann'sDisease; Mucinosis, Focal; Mucinosis, Reticular Erythematous; MucinousCyst; Mucocutaneous Lymph Node Syndrome; Mucopolysaccharidoses;Mucormycosis; Mucosa, Oral, Unclassified; Mucous Cyst; MulticentricReticulohistiocytosis; Multiple Benign Cystic Epithelioma; MultipleEndocrine Neoplasia Synd; Multiple Hamartoma Syndrome; MultipleIdiopathic Hemorrhagic Sarcoma; Multiple Mucosal Neuroma; MultipleMyeloma; Mumps; Munchausen Syndrome; Mycetoma; Mycobacterial Infections,Atypical; Mycosis Fungoides; Myiasis; Myoblastoma; Myoepithelioma; MyomaAnd Leiomyoma; Myxedema And Localized Myxedema; Myxoid Cyst; NailDisorders Assoc. With Internal Disease; Nail Dystrophy, Unclassified;Nail Pits; Nails, Normal Variants; Narcotic Dermopathy; Nasal Glioma;Necrobiosis Lipoidica; Necrobiotic Xanthogranuloma; Necrolysis, ToxicEpidermal; Necrolytic Migratory Erythema; Necrosis, Unclassified;Necrotizing Fasciitis; Necrotizing Vasculitis; Needle Marks; NeonatalAcne; Neonatal Lupus Erythematosus; Netherton's Syndrome; Neurilemmoma;Neurodermatitis; Neurofibroma, Neurofibromatosis; Neurotic Excoriations;Neutrophilic Dermatosis, Acute Febrile; Nevoxanthoendothelioma;Nevoxanthogranuloma; Nevus Anemicus; Nevus Angiolipomatosus; NevusAraneus; Nevus Caeruleus; Nevus Cell Nevus; Nevus Comedonicus; NevusDepigmentosus; Nevus Elasticus; Nevus Flammeus; Nevus Of Ito; Nevus OfOta; Nevus Sebaceous; Nevus Syringocystadenoma Papilliferum; Nevus UniusLateris; Nevus, Blue; Nevus, Blue Rubber Bleb; Nevus, Compound; Nevus,Dermal; Nevus, Epidermal; Nevus, Epithelial; Nevus, Halo; Nevus,Junctional; Nevus, Linear; Nevus, Organoid; Nevus, Pigmented; Nevus,Spider; Nevus, Spindle Cell; Nevus, Verrucous; Nevus, White Spongy OfMucosa; Nickle Allergy; Niemann-Pick Disease; Nocardiosis; NodularDermal Allergide; Nodular Elastoidosis; Nodular Fasciitis; Nodular FatNecrosis; Nodular Subepidermal Fibrosis; Nodular Vasculitis; Nodules,Milker's; Nodules, Rheumatoid; Noma; Non-Venereal Treponematoses; NormalVariants; North American Blastomycosis; Norwegian Scabies; NummularDermatitis; Nutritional Or Vitamin Deficiency; Occupational Acne;Occupational Dermatoses, Unclassified; Occupational Leukoderma;Ochronosis; Ocular Pemphigus; Oid-Oid Disease; Omphalitis;Onchocerciasis; Onychauxis; Onychia; Onychodystrophy, Unclassified;Onychogryphosis; Onycholysis; Onychomycosis; Ophiasis; Oral FloridPapillomatoses; Oral Mucosa, Unclassified; Oral Tumors; Oral,Unclssified; Oral-Facial-Digital Syndrome; Orf; Organoid Nevus; OroyaFever; Osler-Rendu-Weber Disease; Osteoarthritis;Osteodermatopoikilosis; Osteogenesis Imperfecta; Osteoma Cutis; OtherSyndromes, Unclassified; Oxyuriasis; Pachydermoperiostosis; PachyonychiaCongenita; Pagetoid Reticulosis; Paget's Disease; Painful BruisingSyndrome; Palate, Unclassified; Palmar Erythema; Palmar Fibromatosis;Palmar-Plantar Hidradenitis; Palmoplantar Keratosis; PalmoplantarPustulosis, Unclassified; Panatrophy Of Gower; Paimiculitis; Papilloma,Mucous Membrane; Papilloma, Skin; Papillomatoses, Cutaneous;Papillomatoses, Florid Oral; Papillon-Lefévre Syndrome; PapularDermatitis Of Pregnancy; Papular Mucinosis; Papular Urticaria;Papulonecrotic Tuberculid; Papulosis, Malignant Atrophic Of Degos;Paracoccidioidomycosis; Paraffinoma; Paraneoplastic Syndromes;Parapsoriasis, Acute; Parapsoriasis, Chronic; Parasitic Infestations,Unclassified; Parasitosis, Delusions Of, Paronychia; Pasini Et PieriniSyndrome; Patch Testing, Pathergic Granulomatosis; Pearly PenilePapules; Pediatric Dermatoses; Pediculosis; Pelade; Pellagra;Pemphigoid, Benign Mucous Membrane; Pemphigoid, Bullous; Pemphigoid,Cicatricial, Mucosal; Pemphigoid, Unclassified; Pemphigus Erythematodes;Pemphigus Foliaceusp; Pemphigus Vegetans; Pemphigus Vulgaris; Pemphigus,Brazilian; Pemphigus, Drug; Pemphigus, Familial Benign Chronic;Pemphigus, Hailey-Hailey; Pemphigus, Unclassified; Penile PearlyPapules; Perforating Collagenosis; Perforating Dermatosis; PerforatingFolliculitis; Periadenitis Mucosa Necrotica Recurrans; PerianalProtrusions, Pyramidal; Perianal Strep; Periarteritis Nodosa;Perifolliculitis Capitis Abscedens Et Suff.; Perioral Dermatitis;Perléche; Pernicious Anemia; Pernio; Petechiae; Peutz-Jeghers Syndrome;Peyronie's Disease; Phagedena; Phenylketonuria; Phlebectasia; Phlebitis;Phototherapy; Phrynoderma; Phthiriasis; Phycomycosis; Pian; Piebaldism;Piedra; Piezogenic Pedal Papules, Painful; Pigmentary Hairy Nevus;Pigmentation, Anatomic; Pigmentation, Hair; Pigmentation, Nail;Pigmentation, Unclassified; Pigmented Purpuric Eruptions; Pilar Cyst;Pilar Tumor; Pilomatricoma; Pilonidal Cyst; Pinta; Pinworm Dermatitis;Pitted Keratolysis; Pitted Nails; Pityriasis Alba; Pityriasis Capitis;Pityriasis Lichenoides Chronica; Pityriasis Lichenoides Et VarioliformisAcuta; Pityriasis Rosea; Pityriasis Rubra Pilaris; PityriasisStreptogenes; Pityriasis Versicolor; Plant Dermatitis, Plantar Wart;Plasmacytoma; Pleva; Podagra; Poikiloderma; Poikiloderma Congenitale;Ploikiloderma Of Civatte; Poikiloderma Vasculare Atrophicans; Poison IvyDermatitis; Poliosis; Polyarteritis Nodosa; Polychondritis; PolycythemiaVera; Polydactyly; Polymorphic Light Eruption; Polyostotic FibrousDysplasia (Albright's); Polyp, Fibroepithelial; Pompholyx;Porokeratosis; Poroma; Porphyria; Port Wine Stain; Portugese Man-Of-WarSting; Post-Inflammatory Hyperpigmentation; Post-InflammatoryHypopigmentation; Postmastectomy Lymphangiosarcoma; Pregnancy,Dermatitis In; Pressure Sore; Pretibial Myxedema; Prickle CellCarcinoma; Prickly Heat; Primary Syphilis; Progeria; ProgressiveBacterial Synergistic Gangrene; Progressive Pigmentary Dermatoses;Proteinosis, Lipoid; Prurigo Gestationis; Prurigo Gravidarum; PrurigoNodularis; Pruritic Urticarial Papules Plaques Of Preg.; Pruritis,Signs, Unclassified; Pruritus Gravidarum; Pseudoacanthosis Nigricans;Pseudoatrophoderma Colli; Pseudocyst Of The Auricle; PseudofolliculitisBarbae; Pseudolymphoma Of Speigler-Fendt; Pseudomonas Infection;Pseudopelade; Pseudosarcoma; Pseudotuberculosis; PseudoverrucousPapules; Pseudoxanthoma Elasticum; Psoriasis; Pterygium; PunctateKeratosis Of Palms And Soles; Puppp Syndrome; Purpura And Ecchymosis;Purpura Annularis Telangiectoides; Purpura Fulminans; Purpura PigmentosaChronica; Purpura Rheumatica; Purpuric Pigmented Lichenoid Dermatitis;Pustular Bacterid; Pustular Dermatosis, Subcorneal; Pustular Eruption OfPalms And Soles; Pustular Perifolliculitis; Pustulosis Palmaris EtPlantaris; Pyoderma And Folliculitis; Pyoderma Faciale; PyodermaGangrenosum; Pyogenic Granuloma; Pyramidal Perianal Protrusion;Radiation Dermatoses; Radiation Therapy; Ragweed Dermatitis; Ranula;Raynaud's Disease Or Phenomenon; Reactive Perforating Collagenosis;Reflex Sympathetic Dystrophy; Reiter's Syndrome; RelapsingPolychondritis; Relapsing Self-Healing Blaschko Dermatitis; RemSyndrome; Rendu-Osler-Weber Syndrome; Retention Cysts Of Lips; ReticularErythematous Mucinosis; Reticulohistiocytosis, Multicentric;Reticulohistiocytosis, Cong Self-Healing; Reticuloid, Actinic; ReticulumCell Sarcoma; Rheumatoid Arthritis; Rheumatoid Nodule; Rhinophyma;Rhinoscleroma; Rhinosporidiosis; Rhus Dermatitis; RickettsialInfections; Riehl's Melanosis; Ringed Hair; Ritter's Disease; RockyMountain Spotted Fever; Rodent Ulcer; Romberg's Disease; Rosacea;Rosacea-Like Tuberculid Of Lewandowsky; Roseola Infantum; Rothman-MakaiSyndrome; Rothmund-Thomson Syndrome; Rubella; Rubeola; Sarcoid; Sarcoma;Sarcoma, Kaposi's (Aids-Associated); Sarcoma, Kaposi's (Not Aids);Sauriasis; Scabies; Scalded Skin Syndrome; Scar; Scarlet Fever;Schamberg's Disease; Schistosomiasis; Scleredema; Sclerema;Sclerodactyly; Scleroderma; Sclerodermatomyositis; Scleromyxedema;Sclerosing Hemangioma; Sclerosing Lymphangitis, Penis; Sclerosis,Diffuse Systemic; Sclerotherapy; Scratch Marks; Scrofuloderma; ScrotalTongue; Scurvy; Seabather's Eruption; Sebaceous Adenoma; Sebaceous Cyst;Sebaceous Epithelioma; Sebaceous Gland Carcinoma; Sebaceous GlandTumors, Benign; Sebaceous Hyperplasia; Sebaceous Nevus; SeborrheicDermatitis; Seborrheic Keratosis; Secondary Syphilis; Senear-UsherSyndrome; Senile Elastosis; Senile Keratosis; Senile Purpura;Septicemia; Serum Sickness; Sezary Syndrome; Shingles; Sickle CellUlcer; Sjögren's Syndrome; Skin Tag; Skin Tests For Allergy; Smallpox;Snake Bites; Sneddon-Wilkinson Subcorneal Pustulosis; Solar Atrophy;Solar Keratosis; Solar Urticaria; South American Blastomycosis;Speigler-Fendt Sarcoid; Spider Bites; Spider Nevi; Spinal Dysraphism;Spindle Cell Nevus; Spiradenoma; Spitz's Juvenile Melanoma;Sporotrichosis; Squamous Cell Carcinoma; Staphylococcal Scalded-SkinSyndrome; Stasis Dermatitis; Steatocytstoma Multiplex, Steroid Acne,Steroid Effects, Unclassified; Stevens-Johnson Syndrome; Stings, Insect;Stings, Other Than Insects And Spiders; Stings, Spider; Stomatitis;Stomatitis, Aphthous; Storage Disease, Glycogen; Striae; StuccoKeratosis; Stump Dermatitis; Sturge-Weber Syndrome; Subacute BacterialEndocarditis; Subcorneal Pustular Dermatosis; Subcutaneous Fat Necrosis;Subepidermal Nodular Fibrosis; Sulzberger-Garbe Disease; Sunburn;Supernumerary Digit; Supernumerary Nipple; Surfer's Nodule; Surgery;Sweat Gland Carcinoma; Sweat Gland Disorders, Unclassified; Sweat GlandNecrosis; Sweat Gland Tumors, Benign; Sweet's Syndrome; Swimmer's Itch;Swimming Pool Granuloma; Sycosis; Symmetric Lividity Of The Soles;Symmetrical Peripheral Gangrene; Syndactyly; Synovial Cyst; Syphilis,Congenital; Syphilis, Primary; Syphilis, Secondary; Syphilis, Tertiary;Syringocystadenoma Papilliferum; Syringoma; Systemic LupusErythematosus; Systemic Therapy; Tags, Skin; Tar Melanosis; Tattoo;T-Cell Disorders; Teaching Slides; Teeth Abnormalities, Unclassified;Telangiectasia; Telangiectasia Macularis Eruptiva Perstans;Telangiectasia, Hereditary Hemorrhagic; Telogen Effluvium; TemporalArteritis and other such like diseases and maladies now known andunknown.

Without doubt the invention disclosed herein served many well and longfelt needs and concerns among the public and health care professionals.

OBJECTS OF THE INVENTION

In view of the foregoing, it is therefore an object of the invention toprovide a detection device for skin cancer and other diseases of theskin.

It is a further objective of the invention to provide a detection devicefor skin cancer and other maladies of the skin that is neither invasivenor destructive to the tissue being examined.

A further object of a preferred embodiment of the invention is toprovide a device that may be used as a mirror for anyone wishing to viewhis/her body but have been unable to do so, such as in gym facilities,homes, physician's offices, and other health care facilities.

A further object of a preferred embodiment of the invention is toprovide detection means that does not involve biopsy or contact with theskin.

Another object of a preferred embodiment of the invention is to providedetection means that does not have side effects on the skin.

A further object of a preferred embodiment of the invention is toprovide a means for remote viewing of patients for telemedicaldiagnostic means, such as in prison facilities, remote locations orother areas that are similarly deficient in highly qualified or expertsin a medical field.

A further object of a preferred embodiment of the invention is toprovide a cost-effective device.

Another object of a preferred embodiment of the invention is to providea device that may be easy to employ.

A further object of a preferred embodiment of the invention is toprovide a device that may be assembled with minimal professionalcarpenter assistance.

A further object of a preferred embodiment of the invention is toprovide a device that may be easily transportable.

Another object of a preferred embodiment of the invention is to providea device that is capable of being used in a system for reducing maladiesof the skin

A further object of a preferred embodiment of the invention is toprovide a device that allows for automated acquisition of humanphysiological characteristics.

A further object of a preferred embodiment of the invention is toprovide a device that allows for melanoma and skin cancer screening.

A further object of a preferred embodiment of the invention is toprovide a device that allows for POSI score calculation.

A further object of a preferred embodiment of the invention is toprovide a device that allows for hair loss and/or growth evaluation (s).

A further object of a preferred embodiment of the invention is toprovide a device that allows for wound healing evaluations.

A further object of a preferred embodiment of the invention is toprovide a device that allows for remote diagnostic evaluations.

A further object of a preferred embodiment of the invention is toprovide a device that allows for viewing and analysis of cosmeticsurgery applications.

A further object of a preferred embodiment of the invention is toprovide a device that allows for beauty evaluations.

A further object of a preferred embodiment of the invention is toprovide a device that allows for body morphology analysis.

A further object of a preferred embodiment of the invention is toprovide a device that allows for viewing and analysis of soft tissueaugmentation.

A further object of a preferred embodiment of the invention is toprovide heath care professionals with a device that will makedoctor-patient interface time more efficient.

Another object of a preferred embodiment of the invention is to providea device capable of allowing health care professional(s), doctor(s),nutritionist(s), physical trainer(s) and individual person(s) theability to view, monitor, evaluate and render decisions based upon thatwhich is captured, viewed and or compared to prior analysis utilizingthe device as disclosed herein.

A further object of a preferred embodiment of the invention is toprovide a device that may reduce patient time spent in a health careprofessional's, doctor's, nutritionist's, physical trainer's facilitywhere said individual may review an his/her health, etc.

A further object of a preferred embodiment of the invention is toprovide a device that may reduce the related costs associated with ananalysis as described herein.

Another object of a preferred embodiment of the invention is to providea device that may reduce the cost to insurance programs reimbursingapplicable healthcare and related professions for their time and effortassociated with the rendering of care to such an insured individual.

Another object of a preferred embodiment of the invention is to improvethe quality of life.

Another object of the present device disclosed herein is to allow for abetter and more efficient rendering of any of a variety of forms ofhealth care where visualization of the human body, including partsthereof, is required.

The preferred embodiments of the invention thus provides a device forthe identification, diagnosis and subsequent treatment of maladies ofthe skin that is time and cost efficient and effective with no sideeffects.

Having thus described the invention, it will be apparent to those ofskill in the art that modifications can be made within the scope of theinvention without departing from the scope or breath of that which isintended and disclosed herein.

BRIEF DESCRIPTION OF THE DRAWINGS

FIG. 1 depicts a horizontal cross-section of an imaging system inaccordance with the present invention.

FIG. 2 depicts a vertical panel of an imaging device in accordance withthe present invention.

FIG. 3 depicts a horizontal cross section of an alternate embodiment ofan imaging system in accordance with the present invention utilizing acircular periphery.

FIG. 4 depicts an exemplary imaging device, e.g., camera, and actuationmeans.

FIG. 5 is a schematic of a complete imaging system in accordance withthe present invention.

DETAILED DESCRIPTION OF THE PREFERRED EMBODIMENT

This invention teaches a TIP device that provides non-occluded images byemploying an array of imaging devices and thereafter combiningindividual images to form a continuous image. It has been heretoforecontemplated that the device could find use as an aid in screening anddiagnosis of conditions of soft tissue, hair and nails. Furthermore, itcould also find use as a beauty aid to consult those consideringcosmetic surgery or changes in personal appearance.

Thus, the following detailed description, read with the above-describeddrawings will serve to explain various preferred embodiments andcomponents of the present invention.

FIG. 1 depicts a horizontal cross section of an embodiment of the TIPsystem 100 in accordance with the present invention. The system may besized in any fashion to accord with the application. For example, shouldthe system be used to image an entire person, the system will be sizedsuch that the person could easily stand at the center 108 of the device100 with sufficient comfort. However, if the particular application isfor the examination of something smaller, the scalp, for example, thedevice could be made smaller such that just a person's cranium would fitcomfortably at center 108. The system 100 is comprised of several panels109. In this particular embodiment, fourteen (14) panels are used. Thepanels are interconnected to form an enclosed structure. In thisparticular embodiment, an 8-sided polygon was chosen. The shape isarbitrary, however, the only requirement is that the panels are set upin mirrored pairs. Each panel 109 is comprised of an imager array 102,comprising a vertical array of imaging devices. The imaging devicescould comprise standard or digital cameras, or other devices capable ofcapturing light, temperature, chemical information or other informationof interest. In this embodiment, we assume the use of digital camerasoperating in the conventional fashion. Thus, in order to optimize theperformance of the cameras, light sources 101 are utilized. Whilefluorescent tubes are the preferred means, any type of illumination canbe used, for example, a Wood's lamp may be used. These light sources 101can be always on, or, alternatively, only activated when the cameras areoperating. Supporting the imager array 102 is the perimeter wall 103.The perimeter wall can be made of plywood, particle board or any otherstructural material capable of supporting the structure. In front of thelight sources 101 and imager array 102 is shield 107. Shield 107protects the imager array 102 and light sources 101 from contact withthe subject. Standard ⅛″ obscured plexiglass can be used as shield 107,and furthermore, a shield with variable transmittance is contemplated.In between the plurality of panels 109, there are dividers 106. Dividers106 function to provide stability for shield 107, and also, when madeopaque, reduce light interference between adjacent imager arrays 102. Toeffect access and egress, panels 104 function as a doorway. By rotatingon hinge 105, panels 104 swing outward, thus allowing access to theinterior of system 100. A system 100 is also contemplated withoutdoorway 104 that can be used for examining small objects, such as thescalp or hands, for example.

FIG. 2 depicts an exemplary panel 200 of a TIP system in accordance withthe present invention. Supporting the panel 200, is perimeter wall 207.Perimeter wall 207 can be flat, curved or angled in any fashion toaccommodate the desired perimeter shape. Supported by the perimeter wall207 are imaging arrays 205 and 206 and light sources 202 and 208. Whilethis exemplary panel utilizes dual imaging arrays 205, 206 and lightsources 202, 208, the panel may be configured in any fashion utilizingat least one imaging array. Light sources 202, 208 are optional, anddepending on the type of imaging done, e.g., chemical, may beunnecessary. However, in the present embodiment, light sources 202 and208 are taken to be standard fluorescent tubes. They could also be, forexample, Wood's lamps. Imaging arrays 205 and 206 comprise a pluralityof imaging devices 203. Imaging devices 203 may be a standard or digitalcamera, or any other type of device capable of capturing the desiredinformation from the subject with the imaging system. Imaging devices203 are controlled through cables 204. These cables may be used toremotely trigger a mechanical actuator or, as is contemplated herein,act as part of an electronic interface such as USB. Imaging arrays 205and 206 are depicted herein as vertical arrays of 5 imaging devices 203.In practice, the array can vary greatly. For use in smallerexaminations, e.g., the scalp, it is suggested that less imaging devices203 would be required to generate a complete image.

FIG. 3 depicts a horizontal cross section of an alternate embodiment ofan imaging system 300 in accordance with the present invention utilizinga circular periphery. The system 300 may be sized in any fashion toaccord with the application. For example, should the system be used toimage an entire person, the system will be sized such that the personcould easily stand at the center 308 of the device 300 with sufficientcomfort. However, if the particular application is for the examinationof something smaller, the scalp, for example, the device could be madesmaller such that just a person's cranium would comfortably at center308. The system 300 is comprised of several panels 309. In thisparticular embodiment, eight (8) panels are used. The panels areinterconnected to form an enclosed structure. In this particularembodiment, a circle was constructed. The shape is arbitrary, however,the only requirement is that the panels are set up in mirrored pairs.Each panel 301 is comprised of an imager array 302, comprising avertical array of imaging devices. The imaging devices could comprisestandard or digital cameras, or other devices capable of capturinglight, temperature or chemical information. In this embodiment, weassume the use of digital cameras operating in the conventional fashion.Thus, in order to optimize the performance of the cameras, light sources303 are utilized. While fluorescent tubes are the preferred means, anytype of illumination can be used. These light sources 303 can be alwayson, or, alternatively, only activated when the cameras are operating.Supporting the imager array 302 is the perimeter wall 310. The perimeterwall can be made of plywood, particleboard or any other structuralmaterial capable of supporting the structure. In front of the lightsources 303 and imager array 302 is shield 309. Shield 309 protects theimager array 302 and light sources 303 from contact with the subject.Standard ⅛″ obscured plexiglass can be used as shield 309, andfurthermore, a shield with variable transmittance is contemplated. Inbetween the plurality of panels 301, there are dividers 306. Dividers306 function to provide stability for shield 309, and also, when madeopaque, reduce light interference between adjacent imager arrays 302. Toeffect access and egress, panel 304 functions as a doorway. By rotatingon a double-hinge hinge 305 and clearing angled divider 307, panel 304swings outward, thus allowing access to the interior of system 300. Asystem 300 is also contemplated without doorway 304 that can be used forexamining small objects, such as the scalp or hands, for example.

FIG. 4 depicts an exemplary imaging device 400 for use with the presentinvention. In practice, the imaging device 400 may be a standard ordigital camera, or any other type of device capable of capturing thedesired information from the subject with the imaging system. Forexample, devices capable of recording infrared or chemical informationcould be used. The present embodiment, however, contemplates the use ofa digital camera as exemplified by the current figure. Such a devicewould comprise lens 403, mechanical actuator 402 and control cable 401.Preferably, cable 401 is used to electronically control, and further,download digital image information from imaging device 400. As iscontemplated herein, the electronic control could be USB. Alternatively,control cable 401 could be used to trigger mechanical actuator 402.Although the present figure describes a specific imaging device, itshould be understood that a wide variety of data collection devicescould be employed without departing from the scope of the presentinvention.

FIG. 5 depicts a schematic of a complete image processing system 500 inaccordance with the present invention. As discussed above in FIG. 1,imaging system 100 may be sized in any fashion to accord with theapplication. For example, should the system be used to image an entireperson, the system will be sized such that the person could easily standat the center 108 of the device 100 with sufficient comfort. However, ifthe particular application is for the examination of something smaller,the scalp, for example, the device could be made smaller such that justa person's cranium would fit comfortably at center 108. The system 100is comprised of several panels 109. In this particular embodiment,fourteen (14) panels are used. The panels are interconnected to form anenclosed structure. In this particular embodiment, an 8-sided polygonwas chosen. The shape is arbitrary, however, the only requirement isthat the panels are set up in mirrored pairs. Each panel 109 iscomprised of an imager array 102, comprising a vertical array of imagingdevices. Imaging arrays 507 through 519 can be identical to imager array102, or may vary in the information they garner in accord with thedesired application. The present embodiment, however, contemplatesidentical imaging devices. The imaging devices could comprise standardor digital cameras, or other devices capable of capturing light,temperature or chemical information. In this embodiment, we assume theuse of digital cameras operating in the conventional fashion. Thus, inorder to optimize the performance of the cameras, light sources 101 areutilized. Each imaging array may utilize a light source 101 to enhanceimaging ability. Furthermore, each of said light sources could havevarying characteristics to accord with the application. Whilefluorescent tubes are the preferred means, any type of illumination canbe used. These light sources 101 can be always on, or, alternatively,only activated when the cameras are operating. Supporting the imagerarray 102 is the perimeter wall 103. The perimeter wall can be made ofplywood, particle board or any other structural material capable ofsupporting the structure. In front of the light sources 101 and imagerarrays 102 and 507-519 is shield 107. Shield 107 protects the imagerarrays 102 and 507 through 519 and light sources 101 from contact withthe subject. Standard ⅛″ obscured plexiglass can be used as shield 107,and furthermore, a shield with variable transmittance is contemplated.In between the plurality of panels 109, there are dividers 106. Dividers106 function to provide stability for shield 107, and also, when madeopaque, reduce light interference between adjacent imager arrays 102 and507 through 519. To effect access and egress, panels 104 function as adoorway. By rotating on hinge 105, panels 104 swing outward, thusallowing access to the interior of system 100. A system 100 is alsocontemplated without doorway 104 that can be used for examining smallobjects, such as the scalp or hands, for example. In order to effect theprocessing of the multiple images garnered from the plurality of imagingarrays, the imager arrays 102 and 507 through 519 are networked to asingle computer 501. The present embodiment contemplates the use of USBto network the arrays 102 and 507 through 519. The imaging devices ofarrays 102, 507, 508 and 509 are connected to USB hub 506 via interfacecabling 102 a, 507 a, 508 a and 509 a, respectively. The imaging devicesof arrays 517, 518 and 519 are connected to USB hub 505 via interfacecabling 517 a, 518 a and 519 a, respectively. The imaging devices ofarrays 514, 515 and 516 connected to USB hub 504 via interface cabling514 a, 515 a and 516 a, respectively. The imaging devices of arrays 510,511, 512 and 513 are connected to USB hub 503 via interface cabling 510a, 511 a, 512 a and 513 a, respectively. Hub 506 is connected with hub503 via cable 520. Hub 505 is connected with hub 504 via cable 521. Hubs503 and 504 are then connected to hub 502 via cables 522 and 523,respectively. Finally, hub 502, which has the totality of imagingdevices of imaging arrays 102 and 507 through 519 connected thereto, isconnected to computer 501 via cable 524. The computer 501 is used toprocess the individual images garnered from each imaging device of eachimaging array 102 and 507 through 519 to create a non-occluded image ofthe subject within system 100, and preferably, at center 108. It shouldbe noted that the arrangement of hubs 506, 505, 504, 503 and 502 and theconcomitant cabling presented heretofore is merely exemplary, and anyonewith skill in the art will recognize the myriad ways of interconnectingthe imaging devices of imaging arrays 102 and 507 through 519 tocomputer 501.

While the present invention has been described with reference to one ormore preferred embodiments, which embodiments have been set forth inconsiderable detail for the purposes of making a complete disclosure ofthe invention, such embodiments are merely exemplary and are notintended to be limiting or represent an exhaustive enumeration of allaspects of the invention. The scope of the invention, therefore, shallbe defined solely by the following claims. Further, it will be apparentto those of skill in the art that numerous changes may be made in suchdetails without departing from the spirit and the principles of theinvention.

1. A method for identifying maladies that effect human tissue, themethod comprising the following steps: positioning a person or portionthereof at a specified imaging position within an enclosure and locateda predetermined distance relative to each of a plurality of imagingdevices that are vertically spaced relative to each other, and aplurality of imaging devices that are laterally spaced relative to eachother; illuminating the person or portion thereof located at thespecified imaging position with a plurality of light sources spacedrelative to each other and peripheral to the plurality of imagingdevices, and generating refraction and reflectance light therefrom;generating an image of the illuminated person or portion thereof locatedat the specified imaging position with each of a plurality of theimaging devices; and measuring one or more imaged features of the personor portion thereof located at the specified imaging position based on apredetermined distance relative to the specified imaging position and afocal length of the respective imaging device.
 2. A method as defined inclaim 1, wherein the measuring step further includes measuring based onthe coordinates and resolution information of the respective imagingdevice.
 3. A method as defined in claim 1, further comprising the stepof providing a plurality of such imaging devices located on oppositesides of a centerline of the specified imaging position relative to eachother.
 4. A method as defined in claim 1, further comprising the step ofproviding the plurality of light sources located amongst the pluralityof imaging devices.
 5. A method as defined in claim 4, furthercomprising the step of providing at least two light sources locatedlateral to at least two imaging devices.
 6. A method as defined in claim1, further comprising the step of providing the at least two lightsources positioned substantially symmetrically relative to the centerline of the specified imaging position.
 7. A method as defined in claim1, further comprising the steps of: providing a first imaging arrayspaced a predetermined distance relative to the specified imagingposition to a side of the enclosure, wherein the first imaging arrayincludes a plurality of first imaging devices vertically spaced relativeto each other; and providing a second imaging array spaced apredetermined distance relative to the specified imaging position, andlaterally spaced adjacent to the first imaging array on an opposite sideof the centerline of the specified imaging position relative to thefirst imaging array, wherein the second imaging array includes aplurality of second imaging devices vertically spaced relative to eachother.
 8. A method as defined in claim 7, further comprising the stepsof: providing a third imaging array spaced a predetermined distancerelative to the specified imaging position, and laterally spacedrelative to the first imaging array on an opposite side of the firstimaging array relative to the second imaging array, wherein the thirdimaging array includes a plurality of third imaging devices verticallyspaced relative to each other; and providing a fourth imaging arrayspaced a predetermined distance relative to the specified imagingposition, and laterally spaced relative to the second imaging array onan opposite side of the second imaging array relative to the firstimaging array, wherein the fourth imaging array includes a plurality offourth imaging devices vertically spaced relative to each other.
 9. Amethod as defined in claim 8, further comprising the steps ofpositioning the plurality of light sources substantially symmetricallyabout the center line and providing a first light source located lateralto the first imaging array, a second light source located between thefirst and second imaging array, a third light source located between thethird and fourth imaging arrays and substantially symmetrically aboutthe center line to the second light source, and a fourth light sourcelocated opposite the first light source and lateral to the fourthimaging array.
 10. A method as defined in claim 1, further comprisingthe step of enclosing the person or portion thereof with panelsthroughout a radius selected from at least one of: about 360 degreesabout a vertical axis and about 360 degrees about a horizontal axis. 11.A method as defined in claim 10, further comprising the step ofproviding the panels with at least one imaging means.
 12. A method asdefined in claim 1, further comprising the steps of capturing with theplurality of imaging devices at least one of: (i) light in the humanlyperceivable light spectrum; (ii) infrared emissions; (iii) electricalemissions; (iv) magnetic emissions; (v) chemical emissions; and (vi)temperature emissions.
 13. A method as defined in claim 1, furthercomprising the steps of producing with the plurality of light sourcesadequate illumination for the plurality of imaging devices to functionin at least one of: (i) light in the humanly perceivable light spectrum;(ii) infrared emissions; (iii) electrical emissions; (iv) magneticemissions; (v) chemical emissions; and (vi) temperature emissions.
 14. Amethod as defined in claim 10, further comprising the steps ofconstructing the panels of a material capable of allowing adequateillumination to pass through the panels to illuminate the person orportion thereof.
 15. A method as defined in claim 1, further comprisingthe steps of scanning the surface of the imaged objects synchronouslyand asynchronously from a physically dispersed matrix of cameras andmultiply angled lighting sources.